摘要
目的:观察中医综合护理肝硬变睡眠障碍的临床疗效。方法:将118例肝硬变睡眠障碍患者,随机分为观察组和对照组各59例,两组患者均给予常规中西医综合治疗方案,对照组在常规治疗的基础上采用常规护理方案,观察组在对照组护理方案的基础上,加用透灸、耳穴压豆的中医综合护理措施。治疗4周后,比较两组患者的匹兹堡睡眠质量指数(PSQI)和临床疗效。结果:经过治疗后,观察组的睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍得分和总分均显著低于治疗前(均P<0.05);观察组治疗后的睡眠质量得分为(1.37±0.51)分,睡眠时间得分为(1.36±0.83)分,睡眠效率得分为(1.36±0.95)分,总分得分为(8.75±3.81)分,均显著低于对照组治疗后(均P<0.05);观察组有效率为96.61%,显著高于对照组(P<0.05)。结论:中医综合护理干预能够有效提高肝硬变睡眠障碍患者的睡眠质量和睡眠效率,增加患者的睡眠时间,具有良好的临床应用价值。
Objective： To observe the clinical effect of treatment and care on differentiation on sleep disorder due to liver cirrhosis.Methods： 118 patients with liver cirrhosis were randomly divided into the observation group and the control group,with 59 cases in each group. The patients in both groups were given routine integrative Chinese and Western medicine. The ones in the control group were also added routine care,while the ones in the observation group were given comprehensive TCM care measures such as point-penetrating method and pressing beans on ears on the basic treatment of the control group. 4 weeks later,their PSQI and clinical effects were compared. Results： Compared with before the treatment,sleep quality,time for falling asleep,sleep time,sleep efficiency,sleep disorder,daytime function disorder score and the total score of the observation group were lower after the treatment（ all P〈0. 05）; The observation group＇s sleep quality score was（ 1. 37 ± 0. 51）; Sleep time score was（ 1. 36 ± 0.83）; Sleep efficiency score was（ 1. 36 ± 0. 95）; And the total score was（ 8. 75 ± 3. 81）; They were all greatly lower those of the control group after the treatment（ all P〈0. 05）. The effective rate of the observation group was 96. 6%,which was clearly higher than that of the control group（ P〈0. 05）. Conclusion： Comprehensive TCM care can greatly improve sleep quality and efficiency of patients with sleep disorder due to liver cirrhosis,increase their sleep time,and has good clinical application value.
出处
《河南中医》
2015年第1期74-76,共3页
Henan Traditional Chinese Medicine
关键词
肝硬变
睡眠障碍
透灸治疗
耳穴压豆治疗
中医综合护理
liver cirrhosis
sleep disorder
TCM comprehensive care
point-penetrating method
pressing beans on ears
